A nurse has received change-of-shift report and is delegating tasks to the assistive personnel (AP). The nurse should tell the AP to complete which of the following tasks first?
Perform blood glucose monitoring of a client who has a prescription for short-acting insulin prior to breakfast.
Apply a condom catheter to a client who is incontinent.
Deliver a clean voided urine specimen to the laboratory.
Feed a client who has bilateral casts due to upper arm fractures.
The Correct Answer is A
Rationale:
A. Performing blood glucose monitoring before breakfast is crucial for timely insulin administration and managing diabetes effectively.
B. Applying a condom catheter is important but can generally be done after more urgent tasks.
C. Delivering a clean urine specimen is important but less time-sensitive compared to blood glucose monitoring.
D. Feeding a client is important but may not be as urgent as tasks directly affecting medical management.
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Related Questions
Correct Answer is B
Explanation
Rationale:
A. Right circumstances refers to the appropriate conditions and setting for delegation.
B. Right supervision involves monitoring and evaluating the performance of tasks delegated to ensure they are completed correctly.
C. Right communication involves clearly communicating the tasks to be completed.
D. Right person ensures the task is delegated to someone with the appropriate skills and qualifications.
Correct Answer is C
Explanation
Rationale:
A. Discussing the LPN's behavior with other nurses could potentially lead to gossip and does not address the core issue.
B. The charge nurse does not have authority to review personnel files; this is handled by management or HR.
C.The most appropriate first step is to investigate the client concerns directly. This provides objective information to determine if further action (coaching, reassignment, reporting to management) is necessary.
D. Reassigning client care to assistive personnel does not address the root cause of the problem and may not be an appropriate or effective solution without further investigation.
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